ID
25262
Beskrivning
Southwest Oncology Group S0816 REGISTRATION WORKSHEET - Step 2 Fludeoxyglucose F 18-PET/CT Imaging and Combination Chemotherapy With or Without Additional Chemotherapy and G-CSF in Treating Patients With Stage III or Stage IV Hodgkin Lymphoma Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=9D88149E-29DD-7E58-E040-BB89AD432F8E
Länk
Nyckelord
Versioner (2)
- 2012-09-19 2012-09-19 -
- 2017-08-29 2017-08-29 -
Uppladdad den
29 augusti 2017
DOI
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Licens
Creative Commons BY-NC 3.0 Legacy
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Southwest Oncology Group S0816 REGISTRATION WORKSHEET - Step 2
INSTRUCTIONS: All of the information on this Registration Worksheet and the Protocol Eligibility Section must be answered appropriately for a patient to be considered eligible for registration. This Registration Worksheet must be entirely filled out and referred to during the registration. Do NOT submit this worksheet as part of the patient data
- StudyEvent: Southwest Oncology Group S0816 REGISTRATION WORKSHEET - Step 2
Beskrivning
For SWOG Institutions
Alias
- UMLS CUI-1
- C1519429
- UMLS CUI-2
- C1320722
- UMLS CUI-3
- C0019829
Beskrivning
RegistrarSouthwestOncologyGroupIdentifierNumber
Datatyp
text
Alias
- NCI Thesaurus ValueDomain
- C25337
- UMLS 2011AA ValueDomain
- C0237753
- NCI Thesaurus Property
- C25364
- UMLS 2011AA Property
- C0600091
- NCI Thesaurus Property-2
- C25699
- UMLS 2011AA Property-2
- C1519429
- NCI Thesaurus ObjectClass
- C25357
- UMLS 2011AA ObjectClass
- C0557514
Beskrivning
SouthwestOncologyGroupInvestigatorIdentifierNumber
Datatyp
integer
Alias
- NCI Thesaurus ValueDomain
- C25337
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ObjectClass
- C25699
- NCI Thesaurus ObjectClass-2
- C17089
- UMLS CUI [1,1]
- C0237753
- UMLS CUI [1,2]
- C0600091
- UMLS CUI [1,3]
- C1519429
- UMLS CUI [1,4]
- C0035173
Beskrivning
SouthwestOncologyGroupTreatingInstitutionIdentifierNumber
Datatyp
integer
Alias
- NCI Thesaurus ObjectClass
- C25699
- NCI Thesaurus ObjectClass-2
- C25705
- NCI Thesaurus ObjectClass-3
- C41206
- NCI Thesaurus Property
- C25364
- NCI Thesaurus ValueDomain
- C25337
- UMLS CUI [1,1]
- C1519429
- UMLS CUI [1,2]
- C1522326
- UMLS CUI [1,3]
- C1272753
- UMLS CUI [1,4]
- C0600091
- UMLS CUI [1,5]
- C0237753
Beskrivning
Patient Information
Alias
- UMLS CUI-1
- C1955348
- UMLS CUI-2
- C0019829
Beskrivning
Treatment Start Date
Datatyp
date
Alias
- NCI Thesaurus ObjectClass
- C15368
- NCI Thesaurus ObjectClass-2
- C25631
- NCI Thesaurus Property
- C25431
- NCI Thesaurus Property-2
- C25275
- NCI Thesaurus ValueDomain
- C25164
- NCI Thesaurus ValueDomain-2
- C25431
- UMLS CUI [1,1]
- C0087111
- UMLS CUI [1,2]
- C0808070
- UMLS CUI [2]
- C0019829
Beskrivning
Stratification Questions
Alias
- UMLS CUI-1
- C1514983
- UMLS CUI-2
- C0019829
Beskrivning
CentralPathologyReviewPostABVDRegimenHodgkinLymphomaPositronEmissionTomographyConfirmedCode
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C71684
- NCI Thesaurus Property
- C25458
- NCI Thesaurus Property-2
- C17007
- NCI Thesaurus Property-3
- C9357
- NCI Thesaurus Property-4
- C38008
- NCI Thesaurus Property-5
- C9509
- NCI Thesaurus ValueDomain
- C25162
- UMLS CUI [1,1]
- C0032743
- UMLS CUI [1,2]
- C0019829
- UMLS CUI [2]
- C0050380
- UMLS CUI [3]
- C2347585
Beskrivning
Patient Eligibility
Alias
- UMLS CUI-1
- C1516637
- UMLS CUI-2
- C0013893
- UMLS CUI-3
- C0019829
Beskrivning
SouthwestOncologyGroupPatientRegistrationEligibilityDeterminationInd-2
Datatyp
boolean
Alias
- NCI Thesaurus ObjectClass
- C16960
- NCI Thesaurus ObjectClass-2
- C25699
- NCI Thesaurus Property
- C25646
- NCI Thesaurus Property-2
- C25171
- NCI Thesaurus ValueDomain
- C38147
- UMLS CUI [1,1]
- C0013893
- UMLS CUI [1,2]
- C1514821
- UMLS CUI [1,3]
- C1519429
Similar models
INSTRUCTIONS: All of the information on this Registration Worksheet and the Protocol Eligibility Section must be answered appropriately for a patient to be considered eligible for registration. This Registration Worksheet must be entirely filled out and referred to during the registration. Do NOT submit this worksheet as part of the patient data
- StudyEvent: Southwest Oncology Group S0816 REGISTRATION WORKSHEET - Step 2
C25320 (NCI Thesaurus ObjectClass)
C64382 (NCI Thesaurus Property)
C41200 (NCI Thesaurus Property-2)
C1879547 (UMLS CUI [1,1])
C1507394 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C25474 (NCI Thesaurus ObjectClass)
C25416 (NCI Thesaurus Property)
C25551 (NCI Thesaurus ValueDomain-2)
C1691222 (UMLS CUI [1,1])
C1517741 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
C25646 (NCI Thesaurus ObjectClass)
C16154 (NCI Thesaurus Property)
C16154 (NCI Thesaurus ValueDomain-2)
C1514821 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
C1519429 (UMLS CUI [1,2])
C1320722 (UMLS CUI-2)
C0019829 (UMLS CUI-3)
C0237753 (UMLS 2011AA ValueDomain)
C25364 (NCI Thesaurus Property)
C0600091 (UMLS 2011AA Property)
C25699 (NCI Thesaurus Property-2)
C1519429 (UMLS 2011AA Property-2)
C25357 (NCI Thesaurus ObjectClass)
C0557514 (UMLS 2011AA ObjectClass)
C25364 (NCI Thesaurus Property)
C25699 (NCI Thesaurus ObjectClass)
C17089 (NCI Thesaurus ObjectClass-2)
C0237753 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C1519429 (UMLS CUI [1,3])
C0035173 (UMLS CUI [1,4])
C25705 (NCI Thesaurus ObjectClass-2)
C41206 (NCI Thesaurus ObjectClass-3)
C25364 (NCI Thesaurus Property)
C25337 (NCI Thesaurus ValueDomain)
C1519429 (UMLS CUI [1,1])
C1522326 (UMLS CUI [1,2])
C1272753 (UMLS CUI [1,3])
C0600091 (UMLS CUI [1,4])
C0237753 (UMLS CUI [1,5])
C25631 (NCI Thesaurus ObjectClass-2)
C25431 (NCI Thesaurus Property)
C25275 (NCI Thesaurus Property-2)
C25164 (NCI Thesaurus ValueDomain)
C25431 (NCI Thesaurus ValueDomain-2)
C0087111 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
C0019829 (UMLS CUI [2])
C0019829 (UMLS CUI-2)
C25458 (NCI Thesaurus Property)
C17007 (NCI Thesaurus Property-2)
C9357 (NCI Thesaurus Property-3)
C38008 (NCI Thesaurus Property-4)
C9509 (NCI Thesaurus Property-5)
C25162 (NCI Thesaurus ValueDomain)
C0032743 (UMLS CUI [1,1])
C0019829 (UMLS CUI [1,2])
C0050380 (UMLS CUI [2])
C2347585 (UMLS CUI [3])
C0013893 (UMLS CUI-2)
C0019829 (UMLS CUI-3)
C25699 (NCI Thesaurus ObjectClass-2)
C25646 (NCI Thesaurus Property)
C25171 (NCI Thesaurus Property-2)
C38147 (NCI Thesaurus ValueDomain)
C0013893 (UMLS CUI [1,1])
C1514821 (UMLS CUI [1,2])
C1519429 (UMLS CUI [1,3])